| NPI | 1912506635 |
|---|---|
| Doing Business As | HACKLEY COMMUNITY CARE CENTER MOBILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHERI WEGLARZ COO 231-733-6610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |